Individual
LINDA M BRENNESSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2 RUBIN DR, RUSHVILLE, NY 14544-9681
(585) 554-4825
(585) 554-4402
Mailing address
765 COUNTY ROAD 26, PHELPS, NY 14532-9740
(315) 548-4733
(315) 548-4734
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
017101-1
NY
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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